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A nurse is caring for a school-age child who was involved in a motor vehicle crash.

Exhibits

Complete the following sentence by using the list of options.

The child is at highest risk for developing

evidenced by the client’s .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.

Rationale for incorrect options:

Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.

Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.

Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.


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Related Questions

Correct Answer is C

Explanation

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

Correct Answer is ["B","C","D"]

Explanation

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

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